Management of rectal pyogenic granuloma with transanal mucosal sleeve resection

Area of Science:

• Pediatric Gastroenterology
• Dermatology
• Vascular Lesion Research

Background:

• Pyogenic granulomas are common benign vascular tumors, usually found on the skin.
• While typically cutaneous, they can manifest in the gastrointestinal tract, including the intestine.
• Intestinal pyogenic granulomas are a rare cause of significant gastrointestinal bleeding in children.

Observation:

• An unusual case of a rectal pyogenic granuloma in a child is presented.
• This lesion mimicked other causes of lower gastrointestinal bleeding.
• Diagnostic challenges in identifying the source of bleeding were noted.

Findings:

• The rectal pyogenic granuloma was confirmed histopathologically.
• The lesion was successfully managed with a specific intervention.
• Complete resolution of gastrointestinal bleeding was achieved post-treatment.

Implications:

• This case expands the understanding of pyogenic granuloma presentation in children.
• It underscores the importance of considering rare gastrointestinal causes of bleeding.
• Effective management strategies for rectal pyogenic granulomas can prevent morbidity.